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A useful way to read the mechanism literature is to separate three levels of evidence
Eslam, M., Biomarkers of Metabolic (Dysfunction)-associated Fatty Liver Disease: An Update
doi:10.1016/j.jns.2006.07.009
Right: Western blot of proteins in knock-down cells
Mental and emotional factors like stress, anxiety, and depression can also affect the release of stomach acid needed to digest protein (which ensures that B12 is released from your food), says Kozlowski
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